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Promoting Accountability and Transparency in Healthcare Systems

Explore how the Macchiarini and Mid Staffordshire scandals highlight the need for a culture shift towards prioritizing patient care. Recommendations focus on fostering a common patient-first culture, ensuring openness, transparency, and candour throughout the healthcare system.

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Promoting Accountability and Transparency in Healthcare Systems

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  1. Similarities between the Macchiarini-and the Mid Staffordshire scandal • Leaders were informed but did not act • An institutional culture which ascribed more weight to positive information than to information capable of implying cause for concern • Whistleblowers were punished • Media played an important role in revealing the scandal

  2. Recommendations • Foster a common culture shared by all in the service of putting the patient first • Ensure openness, transparency and candour throughout the system about matters of concern

  3. Openness, transparency and candour • Openness – enabling concerns and complaints to be raised freely without fear and questions asked to be answered. • Transparency – allowing information about the truth about performance and outcomes to be shared with staff, patients, the public and regulators. • Candour – any patient harmed by the provision of a healthcare service is informed of the fact and an appropriate remedy offered, regardless of whether a complaint has been made or a question asked about it.

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